Regrets never die
Artigo Original
Como citar: Valença AM, Schwengber HE, Telles LEB, Alexandre MFDF, Junior JBD, Rigonatti LF, Silva AGD, Nardi AE. Esquizofrenia e outras psicoses: aspectos forenses de mulheres homicidas. Persp Med Legal Pericia Med. Vol. 10, 2025; 250528.
https://dx.doi.org/10.47005/250528Aceito em 12/12/2025
Los autores no informan ningún conflicto de intereses.
SCHIZOPHRENIA AND OTHER PSYCHOSIS: FORENSIC ASPECTS OF HOMICIDAL WOMEN
Resumo
OBJETIVO: Avaliar amostra de todas as mulheres com diagnóstico de transtorno psicótico primário que receberam medida de segurança e estavam em hospital de custódia e tratamento psiquiátrico em regime de internação (n = 8), em virtude de homicídio ou tentativa de homicídio (artigo 121 do Código Penal Brasileiro). MÉTODOS: Trata-se de um estudo de série de casos. Foi realizado o levantamento retrospectivo de dados por meio de registros periciais e pareceres de equipes de assistência. O diagnóstico psiquiátrico final foi realizado com base na entrevista psiquiátrica e observação dos registros, utilizando-se os critérios diagnósticos do DSM-IV-TR. Houve aplicação de questionário padronizado e escala das síndromes positiva e negativa (PANSS). RESULTADOS: Sete pacientes receberam diagnóstico de esquizofrenia e uma de transtorno esquizoafetivo. A maioria das vítimas (n = 6, 60%) era membro familiar das pacientes. Foi encontrado que 37,5% (n = 3) das pacientes tinham história prévia de comportamento violento. De acordo com a avaliação da perícia psiquiátrica inicial, cinco (62,5%) pacientes da amostra total apresentavam sintomatologia psicótica no momento desta avaliação. As alucinações auditivas foram os sintomas psicóticos mais comuns. CONCLUSÃO: O estudo de fatores motivadores do comportamento homicida pode fornecer conhecimentos para o estabelecimento de intervenções terapêuticas em mulheres com transtornos mentais que apresentem risco para este ou outros comportamentos violentos.
Palavras Chave: Homicídio, sexo feminino, transtorno mental, medida de segurança.
Abstract
OBJECTIVE: Evaluate a sample of women with primary psychotic disorders who received a safety measure and were admitted to inpatient forensic psychiatric care (n=8), due to homicide or attempted homicide (article 121 from the Brazilian Penal Code). METHOD: This is a serial cases study. The case records of all the women were retrospectively examined, including technical files and the evaluations of clinical experts. The final psychiatric diagnosis was obtained with a psychiatric evaluation of the patients and the examination of their records, using the diagnostic criteria of DSM-IV-TR. A standardized interview and positive and negative syndrome scale (PANSS) were also applied. RESULTS: Seven patients received a diagnosis of schizophrenia and one a diagnosis of schizoaffective disorder. Most victims (n=10; 60%) were family members of the patients. We found that 37.5% (n=3) of the patients had previous history of violent behavior. According to the initial psychiatric forensic evaluation, five (62.5%) of the patients from the sample had psychotic symptoms. Auditory hallucinations were the most common psychotic symptoms. CONCLUSION: The study of motivational factors for homicidal behavior may provide further knowledge for the implantation of therapeutic interventions in women with mental disorders and an increased risk for homicidal or other violent behaviors.
Keywords (MeSH): Homicide, female gender, mental disorder, safety measure.
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